Wilson, Justin B.

Wilson, Justin B. is an individual health care provider with primary practice located at 59 Koch Ave , Morris Plains NJ 07950-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, Justin B. can be contacted via phone (973) 538-1800.

Contact Information

Primary practice address
59 Koch Ave Morris Plains NJ 07950-4400
Phone: (973) 538-1800
Fax: (973) 889-8486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA062314 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 204521 New York

Profile Details

NPI number 1831161850
LBN Legal business name Wilson, Justin B.
Credentials M.D. FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831161850 NPPES
New Jersey MEDICAID 6567207
New Jersey Other 776501-B1J

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